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Articles 
Viola Vaccarino, Harlan M. Krumholz, Jorge Yarzebski, Joel M. Gore, and Robert J. Goldberg Younger, but not older, women who survive hospitalization for myocardial infarction have a higher long-term mortality rate than men. This finding provides additional evidence that younger women who sustain a myocardial infarction are at greater risk for death than men.
Anne B. Newman, Alice M. Arnold, Gregory L. Burke, Daniel H. O'Leary, and Teri A. Manolio Total mortality, cardiovascular disease mortality, and rate of incident cardiovascular disease were higher in patients with abdominal aortic aneurysm than in those without aneurysm, independent of age, sex, other clinical cardiovascular disease, and extent of atherosclerosis detected by noninvasive testing.
Geno Merli, Theodore E. Spiro, Carl-Gustav Olsson, Ulrich Abildgaard, Bruce L. Davidson, Amiram Eldor, Darlene Elias, Andrew Grigg, Dominique Musset, George M. Rodgers, Arthur A. Trowbridge, Roger D. Yusen, Krystyna Zawilska for the Enoxaparin Clinical Trial Group* Subcutaneous enoxaparin given once or twice daily is as effective and safe as dose-adjusted, continuously infused unfractionated heparin for preventing recurrent symptomatic venous thromboembolic disease.
Brief Communications
William T. Cefalu, Jay S. Skyler, Ione A. Kourides, William H. Landschulz, Cecile C. Balagtas, Shu-Lin Cheng, Robert A. Gelfand for the Inhaled Insulin Study Group* Pulmonary delivery of insulin in patients with type 2 diabetes who require insulin improved glycemic control, was well tolerated, and demonstrated no adverse pulmonary effects.
Academia and Clinic
David Casarett, Jean S. Kutner, Janet Abrahm for the End-of-Life Care Consensus Panel* This consensus paper describes the essential skills that clinicians need to help persons who are experiencing grief after the death of a loved one. Four aspects of the grieving process are reviewed: anticipatory grief, acute grief, normal grief reactions, and complicated grief.
Reviews
Ursula Rauch, Julio I. Osende, Valentin Fuster, Juan J. Badimon, Zahi Fayad, and James H. Chesebro Long-term treatment with potent antithrombotic drugs, such as tissue factor or factor Xa inhibitors, that effectively block thrombosis without causing bleeding complications could help reduce death from cardiovascular disease.
Editorials
John Z. Ayanian Amid growing efforts to understand and improve the treatment of heart disease in women, Vaccarino and colleagues, in this issue, provide sobering evidence regarding the adverse long-term consequences of acute myocardial infarction in middle-aged women.
David M. Nathan In this issue, Cefalu and colleagues report findings from a 3-month study of inhaled insulin in patients with type 2 diabetes. Can we draw any conclusions about this method of delivering insulin, considering the absence of a control group in this study?
On Being a Patient
Theodore Tsomides As a resident in internal medicine at a 600-bed teaching hospital, I have cared for many dying patients and their families. But nothing could have prepared me for the experience of taking care of my dying father or taught me more about the art of medicine.
Letters Cost-Effectiveness of Sildenafil
The Informationist
Serum Homocysteine and Stroke in Atrial Fibrillation
Celecoxib-Induced Cholestatic Hepatitis
Correction: Bioprosthetic Valve Degeneration
Ellen S. More The Remains of the Day,the brilliant novel by Kazuo Ishiguro, reminds us, physicians and health care organizations alike, that no matter what the setting or the institutional constraints, authentic professionalism in the broadest sense cannot abrogate its core duties: to make sound and ethical judgments and to acknowledge the responsibility for having made them.
Arthur C. Fox
Edy E. Soffer
Jack Coulehan
Willis C. Maddrey This Update discusses some important aspects of the history of viral hepatitis and hemochromatosis and describes notable new reports that may help guide an internist's approach to patients with these liver diseases. | |||||||||||||||||||||||||||||||||||||||||||||||||
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